Authorizations Specialist

Philadelphia, PA Full-time

Job description

At All American Home Care we value our employees like family. We celebrate success and encourage professional development.

We are actively seeking an experienced Authorizations assistant. The ideal candidate will have experience in authorizations, eligibility, billing and remittances.

All American will:

  • $350 Sign on Bonus
  • foster your growth
  • offer a competitive salary
  • provide you with healthcare coverage at 50% cost to you
  • provide life insurance with a $50,000 policy at no cost to you
  • offer opportunities for annual bonuses based on your specific performance
  • to offer annual increases based on your performance
  • offer room to grow and develop professional roots
  • allow you to transition into other departments or the department that is the best fit for you
  • give you a familial environment that makes you feel at home

Responsibilities:

  • Performing electronic medical record review, reading medical and billing records
  • Tracking authorizations and obtaining eligibility and benefit verification.
  • Performing continuous audits on project processes to ensure compliance.
  • Monitor authorized visits and request further authorization when needed; document correspondence in patient account
  • Documents all tasks done on accounts in comments so others working on the account can easily get information needed for their job functions
  • Follows up with insurance regarding determination for denials and retro-authorizations
  • Ensuring accurate and timely processing of all reports as requested
  • Tracking invoices and claims ready to be invoiced on a daily basis for all consumers.
  • Maintain an organized system for reviewing ready to invoice claims by maintaining a relationship with the insurance accounts via phone and/or email, as well as keeping all reports and follow-up documentation organized for regular review sessions with direct Supervisor. This would include but is not limited to requesting and filing all needed invoices, bill missed or skipped invoices, log all updates and track all past due accounts, etc.
  • Act as a liaison between insurance account contacts and office personnel for all discrepancies involving claims.
  • Research, follow up, and resolve all internal or external inquiries or problems via phone, mail, or e-mail in a professional manner and within established customer service guidelines.

Qualifications:

  • High school graduate; college degree preferred.
  • Minimum of two (2) years of home care billing experience.
  • HHA Experience required.
  • Demonstrated strong verbal, written and interpersonal communication skills.

Please visit our careers page to see more job opportunities.

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